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DOT EXAM TEST BANK 169 QUESTIONS WITH 100% CORRECT ANSWERS UPDATED 2024/2025

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DOT EXAM TEST BANK 169
QUESTIONS WITH 100%
CORRECT ANSWERS UPDATED
2024/2025

1. If the medical examiner questions the Whisper Test hearing acuity at the tested
minimum distance, an audiogram is required. What form must the test be recorded in
decibels following established by which group:
A. The International Standard and Regulation Academy
B. The American National Standard Institute
C. National Association of the Deaf
D. Occupational Safety and Health Administration - Answer- B. The American National
Standard Institute

2. Any driver who presents with a chronic history of mild shortness of breath and
abnormal respiratory examination findings suspect for chronic lung disease should
have, according to FMCSA, which initial respiratory test?
A. Chest x‐ray
B. Pulse oximetry
C. Lung scan
D. Pulmonary Function Test - Answer- D. Pulmonary Function Test

3. If a driver with hearing aids fails the whisper test at the minimum distance, what
should the examiner do?
A. Perform the Weber and Rinne test to determine neurosensory loss
B. Perform an on‐site audiometric test in CME's certified booth with the hearing aids on
C. Refer to Audiologist or Otolaryngologist to ascertain hearing acuity with hearing aids
worn
D. Send the driver to ENT and have the specialist sign off on the CMV Medical
examination report that driver is cleared - Answer- C. Refer to Audiologist or
Otolaryngologist to ascertain hearing acuity with hearing aids worn

4. A driver sustained a severe crush injury in a MVA one year ago and required
amputation of his right foot. The driver

,is released to duty with a foot prosthesis. FMCSA regulations requires the medical
examiner to:
A. Refuse to perform the exam, as the right foot prosthesis cannot be adapted to
commercial driving
B. Complete the full examination and if no other deficits, refer this driver for a Skill
Performance Evaluation
C. Record the amputation/prosthesis, Musculoskeletal & Neurological examination
findings on the form and certify
D. Ask the carrier to provide results from a road test before doing the exam - Answer- B.
Complete the full examination and if no other deficits, refer this driver for a Skill
Performance Evaluation

5. The driver provides the medical examiner with a copy of records, including a
cardiologist's report indicating a
diagnosis of congestive heart failure and that the driver's ejection fraction is 38%. Can
the driver be certified?
A. Yes, if the driver is under ongoing care of the cardiologist and has no more than mild
symptoms
B. Yes, providing the driver has completed a 6‐week cardiac rehabilitation program
C. No because CHF is automatically disqualifying
D. No because his ejection fraction is less than 40% - Answer- D. No because his
ejection fraction is less than 40%

6. On examination, a driver is found to have a very irregular heart rate. He denies
shortness of breath, palpitations, or
other symptoms. He appears fit. Which of the following tests should be recommended
next to further access if this
driver can safely operate ad commercial vehicle?
A. A chest x‐ray
B. An exercise stress test
C. A chesterfield step test
D. An electrocardiogram - Answer- D. An electrocardiogram

7. When examining the abdomen, the medical examiner notices a 4 cm bulge over the
umbilicus when the driver is
supine. On palpation, there is no tenderness and the bulge is reducible. He admits to
occasional constipation but
otherwise no abdominal complaints. What course of action would the prudent medical
examiner do next?
A. Refer the driver for further evaluation
B. Issue a two year medical certificate card since the bulge is reducible and
asymptomatic
C. Require an abdominal CT
D. Refer for a colonoscopy - Answer- A. Refer the driver for further evaluation

,8. A driver is prescribed warfarin after a pulmonary embolism 3 months ago. His INR
are stable. A recent CT scan
shows the condition is stable and has a medical release from the pulmonologist.
According to FMCSA guidelines for
pulmonary emboli, the medical examiner would:
A. Disqualify driver while on warfarin
B. Qualify for one year only with monthly INR checks to meet monitoring guidelines
C. Certify for two years since he has a normal CT and release from specialist
D. Certify for one month card and require a follow‐up INR at that time - Answer- B.
Qualify for one year only with monthly INR checks to meet monitoring guidelines

9. Essential job functions of the commercial driver should be considered:
A. The same degree of work effort and intensity for all drivers, no exceptions
B. Different for motor coach drivers than for commercial hauling drivers
C. Light duty according to the occupational classification of jobs
D. Are determined by the size of the vehicle they drive - Answer- A. The same degree of
work effort and intensity for all drivers, no exceptions

10. A motor coach driver with a chronic back complaint requests the medical examiner
write a requirement to his
supervisor to provide a bus with air suspension adjustable seat for better posture and
comfort, stating the older bus
have worn out seats that aggravate this condition. Assuming all other parts of the
physical examination of the driver is
normal, what would the Medical Examiner do next:
A. Issue a one year certificate and tell the driver that no accommodations can made on
the CDL exam
B. Provide the written restriction for the seat and give a one year certificate to follow‐up
on the back complaint.
C. Educate the driver on back care, the need for a full evaluation of his back complaint if
worsens, and need for regular
exercise and stretching
D. Temporarily note determination pending until the etiology of the back condition is
understood - Answer- A. Issue a one year certificate and tell the driver that no
accommodations can made on the CDL exam

11. Which of the following is medically qualified?
A. Driver with PCI nine months ago and without follow‐up cardiology visit or ETT
B. Driver with CABG four months ago, with an echo at 3 months showing LVEF 55%
and cardiologist clearance
C. Driver with CHF and dyspnea at rest
D. Driver with recently increasing angina lasting 15 minutes after loading his truck and
unresponsive to nitroglycerine - Answer- B. Driver with CABG four months ago, with an
echo at 3 months showing LVEF 55% and cardiologist clearance

, 12. The driver has an abdominal aortic aneurysm and the ME obtains a copy of his
sonogram report showing the
aneurism is 5.3 cm. He says this is stable and he is asymptomatic. Is this driver
medically qualified?
A. No, because there is not also a letter of clearance
B. No, because the aneurysm is 5.0 cm or larger
C. No, because abdominal aortic aneurysms are disqualifying
D. Yes, because he is asymptomatic - Answer- B. No, because the aneurysm is 5.0 cm
or larger

13. Which of the following is not a recommended criterion for qualifying a driver post‐
CABG?
A. Yearly ETT beginning 3 years after CABG date
B. Radionucleide stress test or echocardiographic myocardial imaging if driver unable to
achieve satisfactory ETT
C. Annual qualifying exams
D. Initial qualifying exam at least 3 months after CABG - Answer- A. Yearly ETT
beginning 3 years after CABG date

14. A 28 year old driver requests a new driver exam. He was diagnosed with diabetes
five weeks ago and has done well
on insulin. His younger sister has diabetes and he has helped her manage her condition
from time‐to‐time so was
familiar with injection and self‐monitoring techniques prior to his diagnosis. His CMV
trainer informed him of the
exemption program and he has downloaded the necessary paperwork, which he brings
to the visit. What action should
you take?
A. Inform the driver that he must be on insulin for two months prior to the examination
B. Conduct the examination but note temporarily disqualified until the two‐month
anniversary of his insulin treatment
C. Conduct the examination and certify him for one year if otherwise qualified, noting his
understanding of self‐
management
D. Disqualify him until you have had an opportunity to review five years of medical
records - Answer- A. Inform the driver that he must be on insulin for two months prior to
the examination

15. A carrier sends a driver for a new medical certification card. He admits to past drug
use but is currently in a
methadone treatment program. His last random drug tests over the past year are all
negative for any other drug use. He
passed the NIDA 5 drug test for pre‐hire 2 days ago. The medical examiner should:
A. Qualify the driver since he has a negative recent drug NIDA 5 drug screen test.
B. Qualify the driver for 3 months for close oversight of his former addiction condition.
C. Disqualify the driver, methadone is in itself disqualifying by FMCSA.

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